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DEPA AENT OF COMMUNITY DEVELUPMCNI _RVICES <br />6UILDING PERiOAIT 1(�IFORhi�4TiON <br />ADDRESS 8�� �Tid AUE, f7'E� TYPE7lR.lG�LfS�M. t-5 <br />(1) BUILDING PERMIT FEE�?gB00•�- g �U4.S n <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PER�11T ISSUANCE <br />(Aj TO BE DETERP�INED BY B! DG INSPECTOR _ L�r— INCH <br />(BJ EXIST. _ WATER SERVICE iPPLICATION NO. <br />(C) APPROX. LOCATION <br />�B— <br />55• Oo <br />2 g, 5D <br />CeE7-Od <br />CHAftT <br />(5) DRIVE�; AY PERMIT TO 8r PAID PRIOP. TO BUILDING PERMIT IS- Z� .D U <br />SUANCE F�ET _. DRIVEWAY(TYPE) S <br />S <br />(7J STATUS OF SEWER CH.IRGES: <br />BOND . -�' L�ISTRICT _ <br />NUTES <br />SC-'EGI ,s,c.. U7ll, � 7y � <br />o�n �i��-��' <br />l-�z c7 ��q, p a <br />��u+� ¢_?�._o 0 <br />y��,� a .a� <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNE TION CHARGES <br />YEAR �� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHAP.GES <br />SEWER PERMIT fEE <br />CATCH BASIN PERP�IIT FEE <br />TOTAL SEWER PERM!T FEES <br />(7) MONTHLY �EWER CHARCES: <br />SEWER CONSTRUCTION <br />$ 33D. no <br />$ '� .QT; <br />g �L�-6C� <br />TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />s�ea <br />CHART <br />DATE <br />DATE <br />